Senior Vice President, Texas

Geode Health is a rapidly growing provider of mental health services to adults and children in the United States. Founded in June 2021 with backing by global investment firm KKR, Geode was formed to transform mental healthcare delivery by addressing the significant gap in treatment options. It is committed to partnering with psychiatrists, NPs/PAs, psychologists, and therapists to deliver high-quality care and to increase access to in-person and virtual outpatient services. Its specialists work as part of a unified team to provide holistic, coordinated care.  

The company’s transformative approach is its focus on accessibility, affordability, and effectiveness. Operating with an in-person oriented care model, approximately 85% of patients have an in-person relationship with their provider. The company prides itself on making every Geode Health practice a safe and welcoming space at the heart of the community it serves. Geode accepts nearly all major insurance plans in its local markets. Approximately 95% of its revenue comes from commercial insurance. Offering a full spectrum of outpatient mental health services including psychiatry, psychotherapy, and interventional therapies such as TMS (Transcranial Magnetic Stimulation) and esketamine, 75% of patients see clinically significant improvement with one to two months of treatment. 

Geode has profitably grown to 54 offices in five states with over 344 clinicians. The company is at an inflection point, poised to more than double in size (in terms of clinician count, office count and revenue) in the next couple of years.  The company has several durable competitive advantages: 

• Value-driven culture and mission-orientation: accountability, one team, continuous improvement, integrity, balance, and servant leadership 

• Denovo led, sustainable growth: ~90% of offices were organically grown, with strong office margins (~25%); Geode’s scale and anchor practices with strong clinical reputations enable rapid expansion  

• Meaningful and repeatable clinical outcomes: strong clinical outcomes also support differentiated payer economics in each market  

• Strategic health system partnerships: Recent joint venture with Baylor Scott & White in Texas is plans to add 100+ denovos over 5 years 

• High levels of employee and patient experience: Voted Glassdoor's Best Place to Work with the highest employer reviews (4.2) within peer set, and stellar patient Google reviews (4.7) and NPS (78%) 

About the Role 

Are you a senior operating leader who thrives on owning outcomes, building scalable systems, and leading teams through rapid growth? Do you bring a strong mix of strategic rigor, hands-on execution and care deeply about improving access to high-quality mental healthcare? 

The Senior Vice President, Texas serves as the senior-most operational leader for the Texas market and functions as the General Manager over Dallas, Austin & Houston (projected to have ~35 offices by end of next year and 100+ over the next 5 years). This role carries full accountability for clinical and financial performance, market growth, provider experience, team engagement, and operational excellence across all Texas locations. This leader will translate enterprise strategy into disciplined execution at the market level, building systems that allow Texas to scale rapidly without breaking. 

Key Responsibilities 

Market Ownership & P&L Accountability 

• Own full P&L responsibility for the Texas market, with accountability for clinical outcomes, financial performance, unit economics, and labor efficiency. 

• Forecast performance, manage operating budgets, and identify opportunities for sustainable revenue growth and cost optimization. 

• Balance growth with efficiency while maintaining quality, culture, and patient outcomes. 

Operational Excellence & Scalable Systems 

• Serve as the architect and driver of operational excellence across all Texas offices. 

• Establish and own Texas-level KPIs, dashboards, and Monthly Operating Reviews (MORs) to drive accountability and performance management. 

• Develop strong operating cadence and playbooks to deliver systematic, repeatable execution. 

• Conduct regular site visits to assess performance, coach leaders, and ensure consistent, best-in-class operations. 

Growth, Denovos & Expansion 

• Lead rapid expansion across Texas through successful denovo office launches. 

• Partner cross-functionally (Clinical, Recruiting, HR, Finance, Real Estate) to ensure offices open on time and ramp efficiently. 

• Maintain a strong focus on unit economics, provider ramp timelines, and long-term market sustainability. 

Strategic Partnerships & JV Leadership 

• Serve as the accountable, day-to-day operational leader for Geode’s Texas joint venture partnership. 

• Lead partnership reviews, strategy sessions, and performance discussions with the sophistication and gravitas required for health system partners. 

• Ensure alignment on shared goals, metrics, and long-term value creation. 

Provider Flywheel & Clinical Partnership 

• Partner closely with clinical leadership to build and support a high-performing provider network. 

• Own the provider flywheel for Texas: hiring, onboarding, ramping, retention, performance management, and efficient backfilling. 

• Drive strong patient and provider experiences through operational discipline and collaboration with clinical teams. 

Leadership, Talent & Culture 

• Build, coach, and develop Texas operational leaders as the market scales. 

• Serve as the face of Geode leadership across Texas offices and clinicians, modeling servant leadership and the company’s core values. 

• Foster a high-performance, mission-driven culture focused on accountability, teamwork, and continuous improvement. 

Stakeholder & Community Engagement 

• Build trusted relationships with community partners, referral sources, JV stakeholders, and local healthcare leaders. 

• Represent Geode Health across Texas at conferences, meetings, and industry events. 

What Successful Candidates Bring 

• 10+ years of senior operating leadership experience in a multi-site healthcare services organization. 

• Proven success owning P&L and driving strong clinical, operational, and financial outcomes at scale. 

• Experience leading rapid organic growth and denovo expansion. 

• Demonstrated ability to build scalable systems, operating cadence, and disciplined performance management. 

• Experience managing sophisticated partnerships or joint ventures 

• Strong people leader with a track record of developing leaders and building high-performing teams. 

• Strategic thinker with strong analytical skills who is equally comfortable rolling up their sleeves and diving into the details when needed. 

• High-impact communicator with exceptional relationship-building skills. 

• A genuine passion—a real “give a damn”—for improving access to mental healthcare. 

• Ability to travel within Texas on a regular basis, as well as to Chicago, California and New York for ELT or Board meetings. 

Education 

• Bachelor’s degree in Healthcare Administration, Business Administration, or a related field required. 

• MBA or Master’s degree preferred.